Recruiting at 2 sites Phase 4 Sleep Apnea

Sleep Apnea study: Bexagliflozin

Official title Adipose Dysfunction, Imaging, Physiology, and Outcomes With Sodium Glucose Cotransporter 2 Inhibitor (SGLT2i) for Sleep Apnea: The ADIPOSA Study

ClinicalTrials.gov ID: NCT05612594

What this study is testing

What is Bexagliflozin 20 mg?

An investigational once‑daily oral medicine being studied for sleep apnea.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The study wants to see whether the drug lowers sleep apnea severity and improves related health measures, and whether these changes are linked to changes in body structure and function.
Who it's for
Adults who are overweight or obese and have moderate to severe obstructive sleep apnea.
What's involved
Participants will receive either the drug or a placebo and continue their usual care for 6 months. They will have clinical tests at the start and end of the study to measure sleep apnea and related health indicators.
Time commitment
The study lasts 6 months, with clinical visits at the beginning and end to perform measurements.
  • Phase 4: studies an already-approved treatment
  • You might receive a placebo (an inactive treatment) instead of the study drug, decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Able to provide informed consent and stated willingness to comply with all study procedures and availability for the duration of the study
  • Overweight or obese (body mass index 25-40 kg/m2)
  • Clinically confirmed diagnosis of obstructive sleep apnea by one of the following methods: a. Polysomnography: AHI ≥15/hour sleep or b.
  • AHI: apnea-hypopnea index (apneas + hypopneas / total sleep time in hours)

You likely can't join if

  • Known non-OSA related conditions associated with sleep disordered breathing (e.g., central disorder of hypersomnolence, neurological, neuromuscular...
  • Use of sleep-inducing medications (e.g. benzodiazepines, opiates, barbiturates)
  • Type 1 diabetes mellitus
  • History of diabetic ketoacidosis
  • Known hypersensitivity reaction to bexagliflozin or any of its constituents or any contraindication to bexagliflozin use
  • Severe, recurrent urinary tract or genital mycotic infections
See the full eligibility criteria
Who can join
  • Able to provide informed consent and stated willingness to comply with all study procedures and availability for the duration of the study
  • Overweight or obese (body mass index 25-40 kg/m2)
  • Clinically confirmed diagnosis of obstructive sleep apnea by one of the following methods: a. Polysomnography: AHI ≥15/hour sleep or b. Home sleep apnea testing: Respiratory event index (REI) ≥15/hour sleep
  • AHI: apnea-hypopnea index (apneas + hypopneas / total sleep time in hours)
What rules you out
  • Known non-OSA related conditions associated with sleep disordered breathing (e.g., central disorder of hypersomnolence, neurological, neuromuscular, or pulmonary disorder)
  • Use of sleep-inducing medications (e.g. benzodiazepines, opiates, barbiturates)
  • Type 1 diabetes mellitus
  • History of diabetic ketoacidosis
  • Known hypersensitivity reaction to bexagliflozin or any of its constituents or any contraindication to bexagliflozin use
  • Severe, recurrent urinary tract or genital mycotic infections
  • eGFR\<30mL/min/1.73m2 at time of or within 4 weeks of enrollment in the study
  • Unable to complete/tolerate magnetic resonance imaging (MRI) due to severe claustrophobia or metallic implants.
  • Language barrier, mental incapacity, unwillingness or inability to understand.
  • Females of childbearing potential who are pregnant, breast-feeding or intend to become pregnant.
  • Currently or planning to take a SGLT2i prior to or during enrollment in the study
  • Currently or planning to follow a ketogenic diet pattern ("keto diet) prior to or during enrollment in the study
  • Currently or planning to follow an active weight loss program (including but not limited to use of supplements, medications, or surgery) prior to or during enrollment in the study
  • Currently or planning to follow an intermittent fasting diet plan prior to or during enrollment in the study
  • Currently or planning to take a GLP-1 receptor agonist prior to or during enrollment in the study .
  • Existing lower limb ulcer (due to diabetes or any cause)
  • Existing severe peripheral arterial disease with intermittent claudication and/or prior lower limb revascularization procedure
  • Concomitant administration of UGT inducers
  • Severe liver disease

The study team makes the final eligibility decision.

Where it is enrolling

  • New Haven, Connecticut, United States
  • Cleveland, Ohio, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at New Haven, Connecticut, United States; Cleveland, Ohio, United States. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.